全结肠系膜切除术、传统根治术应用于Ⅲ期结肠癌治疗中的价值对比  

Comparison of the Value of Total Mesocolectomy and Traditional Radical Mastectomy in the Treatment of StageⅢColon Cancer

作　　者：黄永周[1] 李漪 丛竹军[1] 刘永江[1] 张伟[1] HUANG Yong-zhou;LI Yi;CONG Zhu-jun;LIU Yong-jiang;ZHANG Wei(Department of General Surgery,the First Affiliated Hospital of School of Medicine,Shihezi University,Shihezi,Xinjiang Uygur Autonomous Region,832008 China)

机构地区：[1]石河子大学医学院第一附属医院普外科,新疆石河子832008

出　　处：《世界复合医学》2020年第10期83-85,共3页World Journal of Complex Medicine

摘　　要：目的在Ⅲ期结肠癌治疗中分别应用CME以及传统根治术,分析其应用价值。方法选取2015年12月—2017年12月,在该院进行治疗的98例结肠癌患者。对照组49例,采取传统根治术治疗;观察组49例,采取CME治疗。对比两组患者的术中相关指标、术后恢复指标以及预后指标。结果观察组患者的出血量明显低于对照组[(128.62±23.29)mL vs(147.36±21.20)mL],淋巴结清扫数目多于对照组[(33.92±4.36)枚vs(24.45±3.13)枚],差异有统计学意义(t=4.165、12.351,P<0.05)。术后2年,观察组患者无病死,复发率为4.08%;对照组患者病死率为8.16%,复发率为18.37%,差异有统计学意义(χ2=4.170、5.020,P<0.05)。两组患者的手术时间、近切端及远切端距离、首次通气、排便、开始进食、下床活动以及住院时间等术后恢复指标均差异无统计学意义(P>0.05);两组患者并发症率差异无统计学意义(P>0.05)。结论在Ⅲ期结肠癌治疗中应用CME可降低术中出血量,且淋巴结清扫更加彻底,有利于改善患者远期预后。Objective To apply CME and traditional radical mastectomy in the treatment of stageⅢcolon cancer to analyze their application value.Methods Select 98 patients with colon cancer who were treated in the hospital from December 2015 to December 2017.49 cases in the control group were treated with traditional radical mastectomy;49 cases in the observation group were treated with CME.The intraoperative related indexes,postoperative recovery indexes and prognostic indexes of the two groups of patients were compared.Results The bleeding volume of the observation group was significantly lower than that of the control group[(128.62±23.29)mL vs(147.36±21.20)mL],and the number of lymph node dissections was more than that of the control group[(33.92±4.36)pieces vs(24.45±3.13)pieces],the difference was statistically significant(t=4.165,12.351,P<0.05).Two years after the operation,there was no death in the observation group,and the recurrence rate was 4.08%;the mortality rate in the control group was 8.16%,and the recurrence rate was 18.37%,the difference was statistically significant(χ2=4.170,5.020,P<0.05).The operation time,distance between proximal and distal ends,first ventilation,defecation,start of eating,getting out of bed,and hospitalization time of the two groups of patients were recovered after surgery,there was not statistically significant difference in indicators(P>0.05);there was no statistically significant difference in the complication rate between the two groups(P>0.05).Conclusion The application of CME in the treatment of stage III colon cancer can reduce intraoperative blood loss and make lymph node dissection more thorough,which is conducive to improving the long-term prognosis of patients.

关 键 词：结肠癌 传统根治术 全结肠系膜切除术 

分 类 号：R735[医药卫生—肿瘤]